Provider Demographics
NPI:1932878287
Name:CALIFORNIA OAKS CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:CALIFORNIA OAKS CHIROPRACTIC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SEC/TREAS
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GLAUDINI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:951-698-2511
Mailing Address - Street 1:40710 CALIFORNIA OAKS RD STE A2
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-1949
Mailing Address - Country:US
Mailing Address - Phone:951-805-7778
Mailing Address - Fax:
Practice Address - Street 1:40710 CALIFORNIA OAKS RD STE A2
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-1949
Practice Address - Country:US
Practice Address - Phone:951-805-7778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CALIFORNIA OAKS CHIROPRACTIC INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-09
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty